Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.

This book provides an overview of factors that have influenced and will continue to influence the development of “alternative” (traditional) medicine in the world. Traditionally, the lack of relevant good quality scientific research is often the reason why a large number of healthcare practices are labeled “alternative”. However, nonscientific factors may be at least as important as the scientific ones. Among such factors are cultural, political, administrative, and economic considerations. The articles in this volume provide an international perspective on how such pervasive factors impact on the development, research, and practice of alternative medicine in the world.

Integration of complementary and alternative medicine therapies (CAM) with conventional medicine is occurring in hospitals and physicians offices, health maintenance organizations (HMOs) are covering CAM therapies, insurance coverage for CAM is increasing, and integrative medicine centers and clinics are being established, many with close ties to medical schools and teaching hospitals. In determining what care to provide, the goal should be comprehensive care that uses the best scientific evidence available regarding benefits and harm, encourages a focus on healing, recognizes the importance of compassion and caring, emphasizes the centrality of relationship-based care, encourages patients to share in decision making about therapeutic options, and promotes choices in care that can include complementary therapies where appropriate. Numerous approaches to delivering integrative medicine have evolved. Complementary and Alternative Medicine in the United States identifies an urgent need for health systems research that focuses on identifying the elements of these models, the outcomes of care delivered in these models, and whether these models are cost-effective when compared to conventional practice settings. It outlines areas of research in convention and CAM therapies, ways of integrating these therapies, development of curriculum that provides further education to health professionals, and an amendment of the Dietary Supplement Health and Education Act to improve quality, accurate labeling, research into use of supplements, incentives for privately funded research into their efficacy, and consumer protection against all potential hazards.

The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.

The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

The global popularity of herbal supplements and the promise they hold in treating various disease states has caused an unprecedented interest in understanding the molecular basis of the biological activity of traditional remedies. Herbal Medicine: Biomolecular and Clinical Aspects focuses on presenting current scientific evidence of biomolecular ef

This is the first book to address public health issues in traditional, complementary and alternative medicine (TCAM). It presents state-of-the-art reviews of TCAM research in a range of priority public health areas such as malaria and HIV and in such common ailments as skin conditions and orthopedic injury in developing countries. Contributions analyze policy trends in areas such as financing of TCAM and education and training in this field as well as selected case studies of model TCAM projects. Important chapters on research methodology, ethical and safety issues, and intellectual property rights pertaining to traditional medicine are also presented. Public financing for TCAM is a test of the commitment of governments, and the book includes an analysis from the World Health Organization's (WHO) Global Atlas data of the worldwide trends in this area. With safety concerns foremost in the minds of both policy makers and the public, the book offers a global overview of policy and legislative trends in this field as well as an important set of guidelines for pharmacovigilance and TCAM products. Sample Chapter(s). Chapter 1: Introduction (1,729 KB). Contents: Foreword (Allan Rosenfield); Policy: Introduction (Gerard Bodeker & Gemma Burford); Policy and Public Health Perspectives on Traditional, Complementary and Alternative Medicine: An Overview (Gerard Bodeker, Fredi Kronenberg & Gemma Burford); Financing Traditional, Complementary and Alternative Health Care Services and Research (Gemma Burford, Gerard Bodeker & Chi-Keong Ong); Training (Gerard Bodeker, Cora Neumann, Chi-Keong Ong & Gemma Burford); Safety: Issues and Policy (Gilbert Shia, Barry Noller & Gemma Burford); Pharmacovigilance of Herbal Medicines: A United Kingdom Perspective (Joanne Barnes); Medicinal Plant Biodiversity and Local Healthcare: Sustainable Use and Livelihood Development (Gerard Bodeker & Gemma Burford); Home Herbal Gardens OCo A Novel Health Security Strategy Based on Local Knowledge and Resources (G Hariramamurthi, P Venkatasubramanian, P M Unnikrishnan & D Shankar); Humanitarian Responses to Traditional Medicine for Refugee Care (Cora Neumann & Gerard Bodeker); Public-Private Partnerships: A Case Study from East Africa (Patrick Mbindyo); Public Health Issues: Priority Diseases and Health Conditions: Malaria (Merlin L Willcox & Gerard Bodeker); HIV/AIDS: Traditional Systems of Health Care in the Management of a Global Epidemic (Gerard Bodeker, Gemma Burford, Mark Dvorak-Little & George Carter); An Overview of Clinical Studies on Complementary and Alternative Medicine in HIV Infection and AIDS (Jianping Liu); Skin and Wound Care: Traditional, Complementary and Alternative Medicine in Public Health Dermatology (Gemma Burford, Gerard Bodeker & Terence J Ryan); Traditional Orthopaedic Practices: Beyond OCyBonesettingOCO (Gemma Burford, Gerard Bodeker & Jonathan Cohen); Research: Clinical Trial Methodology (Ranjit Roy Chaudhury, Urmila Thatte & Jianping Liu); Ethical Issues in Research (Merlin L Willcox, Gerard Bodeker & Ranjit Roy Chaudhury); Intellectual Property Rights (Gerard Bodeker); Epilogue (Gerard Bodeker & Gemma Burford). Readership: Public health specialists and departments; health policy departments in ministries of health and universities; colleges of traditional and complementary medicine; World Health Organization and affiliated institutions; medical schools as a background text on TCAM."